Nasal Obstruction Symptom Evaluation Questionnaire: Cross Cultural Adaptation, Validity and Reliability of the Thai Version
Keywords:
NOSE score, Quality of life, Nasal obstruction, VAS score, PNIFAbstract
Background: Nasal obstruction is the most common rhinologic complaint that affects quality of life. There was no available fast and easy - to - use questionnaire related to nasal obstruction symptoms in Thai language. Objective: To translating and cross - culturally adapting the nasal obstruction symptom evaluation score into Thai (T - NOSE score) and to assess the validity, reliability of the translated version. Method: A cross - sectional study was conducted in adult patients with nasal obstruction in otolaryngology department at Rajavithi hospital from October 2020 - July 2021. The Beaton protocol for cross - cultural adaptation was used in the translation process. Five otorhinolaryngologists were asked to assess content validity while 30 participants were asked to fll in the questionnaire to assess Cronbach’s for internal consistency. Pearson correlation coefficient was used between T - NOSE score, visual analog score (VAS score) and peak nasal inspiratory (PNIF). Receiver operating characteristic (ROC) was applied to calculate area under the curve for cut point, sensitivity, and specificity for screening nasal obstruction. Result: The T - NOSE score had good content validity (IOC = 0.96). The Cronbach’s
was 0.872 which is satisfactory indicating good internal consistency. 100 adult patients (41 males and 59 females) were recruited to assess correlation. Pearson correlation between T - NOSE score and VAS showed a strong correlation (r = 0.849). Simultaneously, T - NOSE score showed moderately reverse correlation with PNIF (r = –0.576) with statistically significant. The appreciate cut off point of T - NOSE score for screening was 32.5 with a sensitivity of 76.9 %, 64.6% specificity, 70.2% PPV and 72.1% NPV to predict nasal obstruction status. Conclusion: Thai NOSE score is a valid and reliable questionnaire which can be used for screening nasal obstruction symptom in adult Thai population.
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